ZIP code
65608
in Ava, MissouriPopulation 8,545
37.72/ 100
Ranked #28,184 of 32,066 US ZIPs (bottom 12.2%)
Ranked #776 of 993 Missouri ZIPs (bottom 22%)
Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.
What defines this ZIP
Metrics where this ZIP sits in the tails of the national distribution — the ones that most set it apart. Select any tile for its definition and methodology.
Energy-cost burden
6.6%
in the top 1.6% nationally
Lower is healthier
ST99thUS98thDefinition & source ›
The modeled share of household income spent on home energy bills — electricity, gas, and heating fuels.
A modeled share of household income spent on home energy. Estimates that hit the model’s 100% ceiling are suppressed rather than published, because at that point the figure reflects the model’s limit rather than a measured burden.
Full methodology ›Distance to an emergency room
23.7 mi
in the top 3.5% nationally
Lower is healthier
ST96thUS97thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.
Full methodology ›Distance to a hazardous-chemical facility
19.9 mi
in the top 4.8% nationally
Higher is healthier
ST97thUS95thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest facility that handles enough hazardous chemicals to require an EPA risk-management plan for accidental releases.
Full methodology ›Hearing disability
11.7%
in the top 5.6% nationally
Lower is healthier
ST85thUS94thDefinition & source ›
The estimated share of adults who are deaf or have serious difficulty hearing.
Full methodology ›Grocery access
0.24 per 1,000 residents
in the top 5.5% nationally
Higher is healthier
ST95thUS95thDefinition & source ›
The number of full supermarkets inside this ZIP’s boundary, per 1,000 residents.
Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one. ZipVitals’s food-access signal is derived from these in-ZIP densities — it is not USDA’s food-desert designation, which measures distance to the nearest supermarket. Where a leg is missing, a ZIP reads “not determinable,” never “not a food desert.”
Full methodology ›Tooth loss
24.1%
in the top 8.6% nationally
Lower is healthier
ST86thUS91stDefinition & source ›
The estimated share of adults aged 65 and older who have lost all of their natural teeth.
Full methodology ›Arsenic in groundwater
1.3%
in the bottom 7.8% nationally
Lower is healthier
ST23rdUS8thDefinition & source ›
The modeled probability that untreated groundwater in this area — the source private wells draw on — exceeds the federal arsenic limit of 10 micrograms per liter.
A modeled likelihood for untreated groundwater, the source drawn on by private wells, which are federally unregulated. It is not a measurement of treated water delivered by a public system, and it is not a test of any individual well.
Full methodology ›Short sleep
40.8%
in the top 13.5% nationally
Lower is healthier
ST90thUS87thDefinition & source ›
The estimated share of adults who usually sleep less than seven hours in a 24-hour period.
Full methodology ›Median household income
$44,607
in the bottom 8.9% nationally
Higher is healthier
ST13thUS9thDefinition & source ›
The middle household income in this ZIP — half of households earn more, half earn less — in dollars per year.
Full methodology ›Dry extreme heat
12.1 days/year
in the top 32% nationally
Lower is healthier
ST7thUS68thDefinition & source ›
The average number of days per year with a modeled daily high of at least 95 °F.
Full methodology ›The read
Ava, Missouri (ZIP 65608), on the composite measure, lands in the bottom 12.2% nationally (28,184th) and the bottom 22% of Missouri (776th), based on limited data; treat as directional.
Where the data leans one way, another reading answers it: distance to a hazardous-chemical facility is in the top 4.8% nationally, grocery rests in the top 5.5% nationally, and modeled arsenic sits in the bottom 7.8% nationally. Modeled industrial-pollution burden registers in the bottom 11.3% nationally. Distance to a community health center lands at the national minimum, shared with about 23% of ZIPs. On the other hand, modeled energy burden resides in the top 1.6% nationally, and distance to an emergency room lies in the top 3.5% nationally. Modeled hearing disability settles in the top 5.6% nationally, and tooth loss stands in the top 8.6% nationally. Modeled mobility disability is in the top 11.0% nationally.
Set against the neighboring ZIPs, park land runs far higher than the surrounding ZIPs on this measure. In everyday language, distance to a hazardous-chemical facility is a plant handling large amounts of hazardous chemicals that must file an EPA risk-management plan for accidental releases. Arsenic is a natural groundwater contaminant, here a modeled estimate of the chance private-well levels exceed a benchmark. Industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. A healthier neighbor overall sits at ZIP 65614, just across the boundary.
What’s driving this score
Nine domains make up the ZipVitals Score — here is how this ZIP does on each, and how much each one counts.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Environmental Hazard
healthier than 68%
14%
About typical
Healthcare Access
healthier than 59%
5%
Holding it back
Chronic Disease Burden
healthier than 11%
21%
Social Need / SDOH
healthier than 6%
16%
Preventive Care
healthier than 33%
13%
Risk Behavior
healthier than 11%
11%
Mental Health
healthier than 26%
8%
Disability
healthier than 12%
7%
Climate / Disaster RiskPartial
healthier than 31%
5%
Lifting this score
Environmental Hazard
healthier than 63%
14%
Healthcare Access
healthier than 64%
5%
About typical
Preventive Care
healthier than 42%
13%
Holding it back
Chronic Disease Burden
healthier than 12%
21%
Social Need / SDOH
healthier than 3%
16%
Risk Behavior
healthier than 25%
11%
Mental Health
healthier than 40%
8%
Disability
healthier than 19%
7%
Climate / Disaster RiskPartial
healthier than 33%
5%
“Share” is how much of this ZIP’s score the domain accounts for. Percentages are rounded; higher is healthier in every domain. How the score works, and who it compares you with ›
Findings that name this ZIP
2 of our published findings list this ZIP code. Each finding compares one published measure against a stated benchmark, and names only the ZIP codes whose estimates are reliable enough to rank. See all surprising findings.
Below what income predicts
The ZIP codes that outlive their incomes
Estimated life expectancy is 74.8 ± 1.1 years. A median household income of $44,607 predicts 76.9 years — 2.1 years below.
Ranked #2,767 of the 5,842 ZIP codes this finding names, ordered by years above what income predicts, highest first.
Below its nearby ZIPs
The ZIP codes that outlive their neighbors
Estimated life expectancy is 74.8 ± 1.1 years. The 50 nearest ZIP codes with estimates average 77.5 years — 2.7 years below them.
Ranked #2,131 of the 3,687 ZIP codes this finding names, ordered by years above the nearby-ZIP average, highest first.
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
65614
Missourishares a border
Score 43.54
Closest healthier
65720
Missourishares a border
Score 48.83
Similar health profile
65752
Missouri99% similar profile
Score 39.70
How these were chosen: only ZIPs with a published Score appear — a nearby ZIP with too little data to score won’t. Nearby means closest by distance between ZIP boundaries, which can cross state lines. A similar health profile is a close match across the nine Score domains, not similar demographics. Distances are measured between ZIP boundaries — ZIPs that touch share a border. How distance is measured
Evidence
Every measure this page draws on, by source. Collapsed by default — the full data stays in the page for search engines either way.
Health OutcomesCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Arthritis among adults | 36.2% | 32.5–40.0 |
| High blood pressure among adults | 43.0% | 38.8–47.5 |
| Cancer (non-skin) or melanoma among adults | 10.9% | 9.9–12.0 |
| Current asthma among adults | 11.3% | 10.0–12.6 |
| Coronary heart disease among adults | 9.8% | 8.8–10.9 |
| Chronic obstructive pulmonary disease among adults | 11.9% | 10.4–13.4 |
| Depression among adults | 25.4% | 22.0–29.3 |
| Diagnosed diabetes among adults | 15.3% | 13.3–17.5 |
| High cholesterol among adults who have ever been screened | 41.8% | 37.5–46.5 |
| Obesity among adults | 37.7% | 29.8–46.2 |
| Stroke among adults | 5.0% | 4.5–5.5 |
| All teeth lost among adults aged >=65 years | 24.1% | 20.3–28.1 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 9.8% | 8.1–11.7 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 80.6% | 78.0–83.1 |
| Visits to doctor for routine checkup within the past year among adults | 79.9% | 76.6–83.2 |
| Cholesterol screening among adults | 84.6% | 82.6–86.5 |
| Colorectal cancer screening among adults aged 45–75 years | 65.0% | 59.9–69.7 |
| Visited dentist or dental clinic in the past year among adults | 54.0% | 50.4–57.6 |
| Mammography use among women aged 50-74 years | 70.5% | 62.3–77.8 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 14.2% | 11.6–17.2 |
| Current cigarette smoking among adults | 19.8% | 17.1–22.8 |
| No leisure-time physical activity among adults | 34.6% | 29.6–40.0 |
| Short sleep duration among adults | 40.8% | 34.2–47.5 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 26.0% | 22.8–29.4 |
| Frequent mental distress among adults | 18.1% | 16.1–20.2 |
| Frequent physical distress among adults | 17.8% | 15.7–20.0 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 19.4% | 17.3–21.8 |
| Any disability among adults | 42.8% | 38.1–47.8 |
| Hearing disability among adults | 11.7% | 10.5–13.1 |
| Independent living disability among adults | 11.5% | 10.2–12.9 |
| Mobility disability among adults | 21.6% | 18.9–24.4 |
| Self-care disability among adults | 5.3% | 4.7–5.9 |
| Vision disability among adults | 6.6% | 5.9–7.4 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 19.9% | 16.9–23.2 |
| Food insecurity in the past 12 months among adults | 15.4% | 12.9–18.3 |
| Received food stamps in the past 12 months among adults | 13.1% | 11.0–15.7 |
| Housing insecurity in the past 12 months among adults | 12.0% | 10.2–14.1 |
| Lack of reliable transportation in the past 12 months among adults | 9.0% | 7.9–10.4 |
| Loneliness among adults | 30.5% | 25.7–35.5 |
| Utility services shut-off threat in the past 12 months among adults | 9.1% | 7.9–10.5 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Poverty rate | 17.5% | 10.6% (3.1–25.8%) n=32,364 | 12.3% (3.2–26.0%) n=1,009 |
| Uninsured 18–64 | 16.8% | 9.0% (1.5–24.3%) n=32,286 | 13.2% (3.5–28.4%) n=1,006 |
| No HS diploma (25+) | 14.9% | 7.9% (1.8–20.7%) n=32,505 | 9.5% (2.5–20.5%) n=1,009 |
| Bachelor's or higher (25+) | 14.6% | 23.3% (9.2–53.6%) n=32,505 | 18.1% (7.2–40.2%) n=1,009 |
| Unemployment rate (16+) | 5.3% | 3.9% (0.0–9.8%) n=32,274 | 2.9% (0.0–8.5%) n=1,003 |
| Households without a vehicle | 5.5% | 3.9% (0.0–12.5%) n=32,322 | 4.1% (0.0–11.9%) n=1,009 |
| Broadband subscription | 78.3% | 89.3% (75.1–97.1%) n=32,322 | 86.3% (72.7–95.2%) n=1,009 |
| Housing cost burden (≥30% income) | 21.3% | 23.7% (10.6–40.0%) n=32,322 | 20.7% (8.4–33.9%) n=1,009 |
| Homeownership rate | 75.5% | 78.7% (51.7–94.0%) n=32,322 | 79.4% (56.0–94.3%) n=1,009 |
| Crowded housing (>1 per room) | 2.8% | 1.3% (0.0–6.3%) n=32,322 | 1.1% (0.0–5.1%) n=1,009 |
| Foreign-born population | 1.3% | 2.6% (0.0–18.6%) n=32,553 | 0.8% (0.0–6.4%) n=1,010 |
| Single-parent households | 49.3% | 53.6% (37.3–74.1%) n=32,087 | 55.0% (39.5–75.6%) n=1,005 |
| Population 65+ | 23.8% | 19.4% (10.8–33.6%) n=32,553 | 19.2% (11.7–31.1%) n=1,010 |
| Median age | 41.7 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (33.3–55.9) n=1,005 |
| Median household income | $44,607 | $72,070 ($46,039–$118,707) n=30,318 | $61,740 ($42,457–$95,231) n=948 |
| Median home value | $162,800 | $222,200 ($100,300–$579,820) n=30,049 | $174,150 ($91,880–$309,500) n=930 |
| Median gross rent | $696 | $1,021 ($677–$1,912) n=25,670 | $813 ($553–$1,265) n=786 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 74.8 yr ± 0.57 | 78.9 yr (74.7–82.8) n=31,308 | 77.6 yr (74.6–81.0) n=995 |
About the ± — it’s this estimate’s give-or-take (statisticians call it the standard error). The true life expectancy for this ZIP most likely falls within 0.57 years of 74.8, and it’s very unlikely to be off by more than twice that.
More ZIPs to explore ▾More ZIPs to explore ▴
How these lists were built: they draw only from ZIPs that have a published Score, so ZIPs with too little data to score are not listed. Distance-based lists use distance between ZIP boundaries with no state filter, so an out-of-state ZIP can appear. Statistically similar means a close match across the nine Score domains, not a demographic match: the measure is the cosine similarity between two ZIPs’ domain scores, taken over the domains both ZIPs have data for and only where that overlap covers at least six of the nine — and where no ZIP clears that minimum-overlap floor, that list is left out rather than filled with a weak match. How distance is measured